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Home My WebLink AboutPermit Mechanical 2010-6-23 tJ/o.'g/O City Of Springfield 225 Fifth 5t. Springfield, OR 97477 Phone: 541~726-3753 Email: permitcenter@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00145 Approval Code: 031216 6/23/2010 10:08 am E-mailedTo:brittney@jcohvac.com Description First Appliance fee City/StateJZjP: SPRINGFiElD, OR 97478 Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE $79.00 $9.48 Job Address: 997 65TH 5T SuitefbldgJaptno.: $3.95 $92.43 Project Name: Balthorp C.\O-ZlD ~ VI03tID Cross Street/directions to job site: Tax map/parcel no.: 1702341200433 Name: Brian Tiller Phone: 541-746-7065 Fax: 541-688-5816 Email: .<_L:." -" cee lie. no.: 169209 Business Ham . . Phone: 5417467065 Fax:S416B91667 AITENnON: Oregon law requkes you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forIh In OAR 952-001-0010 through OAR 952.()O1. 0090. You may obtain copies 01 the rules by' calling the center. (Note: the telephone number for the Oregon Utility NotIficallan Center 18 1-800-332-2344). Contact Addrn..' 5729 BAN 0 a N ED Fa R C;lyIStatelZIP, MlI)4Gf@(POlll)'9p~laD. Email: jcohvac1@comcast.net Metro lie. no.: City lie. no.; Upon review and approval by your IOGal Jurisdiction, your penntl: will be e-malled or faxed within one business day, with Instructions on how to schedule your Inspection. ~;."',. NOTE: This Authorization To Begin Work expires within 180 days If a pennlt ~ ~.ot ob~l~ed. -~ r# '<f).\!J ~\ol'L'? .,\0 ~~ ~~ The local building department may detennine thiilt an Authorization To Begin Work 15 null void If It does not meet applicable land use laws and local ordinances. . - . Inspections Phone: 541-726-3769 This Authorization To Begin Worl(must be posted at the job site until replaced by a Pennil CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00810 ISSUED: 06/23/2010 APPLIED: 06/23/2010 EXPIRES: 12/23/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 997 65TH ST ASSESSOR'S PARCEL NO.: 1702341200433 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Reconnect heat pump Owner: BALTHROP WILLIAM L & IONA M Address: 997 N 65TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor J COO INC License 169209 BUILDING INFORMATION ~ Expiration Date 05/06/2012 Phone 541-746-7065 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: '# of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla REQUIRED PARKING Frontyard Setback: Overlay Dist: ~ot't\. Side 1 Setback:NOTICE' '#Street Trees Rqd: ATTENTION: Oregon 'ftR~6\~ru.to follow rules adopted I 11'. Utility Side 2 Sethack: 'MIT SH ALL EXPIRE IF -m1!'6Jfl!MNe Rqd: C t Th mnnw:tare set forth Rearyard SethaIlt:1S PER" ,Mr'lS,...Ni'overage: Notification en er. ilJRlJlflr Solar Setbacks:AUTHORIZED UNDER THIS PERlVlll "U'f In OAR 952-001-0010 through OAR 952-001- ~ " , NED FOR 0090. You may obtain copies of the rules by 00 I ~ oa Ing e . . ANY 180 DAY PERI., PUBLIC IMPROVEMENTS I number for the Oregon Utility NotIfIcatIOn Street Improvements: Sid~PIl?fJ%1:800-332-2344), I DEVELOPMENT INFORMATION ~ Storm Sewer Available: Special Instruction: DownspoutslDrains: ,-" Notes: I Valuation De~criDtion I Description TVDe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of2 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2010-00810 ISSUED: 06/23/2010 APPLIED: 06/23/2010 EXPIRES: 12/23/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees t.iWI.I Fee Description + 12% State Surcharge + 5% Technology Fee Ist Appliance Amount Paid Date Paid Receipt Numher $9.48 $3.95 $79.00 6/23/10 6/23/10 6/23/10 2201000000000000728 2201000000000000728 2201000000000000728 Total Amount Paid $92.43 I Plan Reviews ~ To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~eouirerU" nsnect~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and a~ree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000728 Date: 06/23/2010 10:32:40AM Job/Journal Number COM20 I 0-0081 0 COM20 1 0-0081 0 COM20 I 0-00810 Payments: Type of Payment ONLINE CHGS cReceintl Description 1st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS ',;;,'l!iI. .,i)::.~-.~. .i,~~i ]'; , ". . Amount Due 79.00 9.48 3.95 $92.43 ,,,,,,'-: ~ Item Total: Check Number Authorization Received By Batch Number Number How Received }J .~ ' .,3; Ii. H '-';" !". Amount Paid KR $92.43 $92.43 ONLINE J COO INC Online Payment Total: '. , I;" , I~ J t ..'........,,"'-',_... . i}i: t,; I~ " , - ~ .' -,' . :-,' ,,' , ," .,.~,', .i. . .';>-~;... .,....:....-.., '..',:.. "! Page I of I '. 6/23/20 J 0